| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,654 | $2,049 | $2,444 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,545 | $1,930 | $2,315 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,800 | $2,710 | $3,621 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,414 | $1,987 | $2,561 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,576 | $1,948 | $2,321 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $613 | $813 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $293 | $313 | $332 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $327 | $454 | $581 |
| Total hip replacement CPT 27130 • Orthopedics | $1,254 | $2,326 | $3,399 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,631 | $2,194 | $2,756 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,166 | $1,548 | $1,930 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,199 | $1,548 | $1,897 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,198 | $1,560 | $1,922 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,127 | $2,002 | $2,876 |
| Total knee replacement CPT 27447 • Orthopedics | $1,253 | $2,329 | $3,406 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $568 | $668 | $767 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $309 | $329 | $349 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $500 | $705 | $909 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $169 | $477 | $786 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,045 | $1,467 | $1,888 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $550 | $673 | $796 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $529 | $636 | $742 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $674 | $789 | $904 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $956 | $1,361 | $1,766 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $948 | $1,020 | $1,091 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,075 | $1,564 | $2,052 |
| Carpal tunnel release CPT 64721 • Orthopedics | $433 | $472 | $510 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $158 | $194 | $229 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $239 | $249 | $258 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $118 | $127 | $137 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $254 | $393 | $533 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $1,174 | $1,730 | $2,287 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $100 | $125 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $48 | $57 | $66 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $127 | $184 | $242 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $110 | $176 | $242 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $170 | $188 | $205 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $88 | $133 | $178 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $149 | $175 | $200 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $298 | $367 | $436 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $240 | $246 | $253 |
| Cytopathology concentration technique CPT 88108 • Pathology | $33 | $41 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $51 | $72 | $93 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $17 | $19 | $21 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $12 | $14 | $17 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $21 | $22 | $24 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $17 | $20 | $24 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $25 | $37 | $48 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $5 | $13 | $22 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $19 | $21 | $22 |